National Provider Identifier
Tia M Mancini, PA
Tia M Mancini, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-3963.
Source: public NPPES record, last updated May 29, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1831524123
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- September 05, 2013
- Last Updated
- May 29, 2024
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-3963
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Surgical Physician Assistant (363AS0400X)
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Full Record
- NPI
- 1831524123
- Entity Type
- Individual
- Last Name
- Mancini
- First Name
- Tia
- Middle Name
- M
- Credential
- PA
- Provider Other Last Name
- Hewitt
- Provider Other First Name
- Tia
- Provider Other Middle Name
- M
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-0553
- Mailing Fax
- (585) 922-0496
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-3963
- Practice Fax
- (585) 266-5363
- Enumeration Date
- September 05, 2013
- Last Updated
- May 29, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 29, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)